If a nurse is using the Braden scale for a client, the nurse is utilizing the scale to determine:

Risk for impaired nutrition

Risk for falls

Risk for aspiration

Risk for skin breakdown

Answer and Explanation

The Correct Answer is D

A. Risk for impaired nutrition: The Braden Scale is not designed to evaluate nutritional risk specifically, though nutrition affects skin integrity.

B. Risk for falls: The Braden Scale does not assess fall risk; separate tools exist for fall-risk screening.

C. Risk for aspiration: Aspiration risk is not what the Braden Scale measures.

D. Risk for skin breakdown: The Braden Scale evaluates sensory perception, moisture, activity, mobility, nutrition, and friction/shear to determine risk for pressure injury/skin breakdown.

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Correct Answer is B

Explanation

A. It doesn't matter where the IM injection is given: Site selection matters -factors such as medication type, injection volume, patient age, and muscle mass determine the appropriate IM site (e.g., deltoid, ventrogluteal, vastus lateralis).

B. IM injections should be given using the Z-Track method: The Z-track technique is recommended for certain IM medications to displace subcutaneous tissue and prevent medication from tracking back into subcutaneous tissue, reducing irritation and leakage.

C. The site will not be sore at all after this type of injection: Some soreness or local tenderness is common after IM injections due to muscle penetration and the medication; absence of soreness is not typical for all IM injections.

D. IM injections are given at a 15-degree angle: IM injections are administered at a 90-degree angle to ensure the needle reaches muscle tissue; more shallow angles are used for subcutaneous injections.

A. Stomach B. Heart C. Liver D. Pancreas

Correct Answer is C

Explanation

A. Stomach: The stomach aids digestion and can contribute to absorption, but it is not the primary organ for systemic drug metabolism.

B. Heart: The heart circulates blood but is not a major site of drug metabolism.

C. Liver: The liver is the principal organ for drug metabolism (hepatic enzymatic biotransformation and the first-pass effect), making it central to how most medications are processed.

D. Pancreas: The pancreas produces digestive enzymes and hormones like insulin, but it is not the main organ responsible for medication metabolism.

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If a nurse is using the Braden scale for a client, the nurse is utilizing the scale to determine:

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Naxlex Comprehensive Predictor Exams

A 41-year-old client with a history of panic disorder begins to present with a severe panic attack. The HCP orders a one-time dose of lorazepam 2mg IM STAT. The nurse knows that which is true of IM injections:

Correct Answer is B

Explanation

The nurse is discussing home medications with the client. The nurse knows that metabolism of medications occur mostly in the

Correct Answer is C

Explanation

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